| 1a. Perception of risk |
Awareness of risks associated with childbirth, influence of previous birth experiences on future delivery choices, and influence of Antenatal Care (ANC) on delivery choice. |
| 1b. Medicalization of Childbirth |
Perception that birth is a natural event, lack of supportive attendance at facility deliveries, fear of cutting |
| 1c. Logistics of home birth |
Perception that home deliveries are logistically easier than facility deliveries |
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2. Influence of sociocultural context and care experiences
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| 2a Influence of others on birthing decisions |
Involvement of husbands, partners, family members, and friends on delivery location decisions |
| 2b. Intersection of traditionalism and modernity |
Influence of tradition and culture on delivery decisions, delays/difficulty in transition from unskilled to skilled care, cooperation between traditional and biomedical health systems |
| 2c. Plan for childbirth |
Plans or lack of plans that a woman or her family make for her delivery |
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3. Resource availability and access
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| 3a. Cost |
Direct and indirect costs associated with facility birth |
| 3b. Transportation/access |
Perception of the distance and time to a health facility and implications of available transportation options. |
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4. Perceptions of quality of care
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| 4a. Abuse or disrespect from health facility staff |
Verbal, or even physical, abuse from staff in the health facility or disrespect, including failure to preserve respect and dignity |
| 4b. Human Immunodeficiency Virus (HIV) |
Fear of HIV testing, disclosure, and discrimination |
| 4c. Policies |
Health policies that may influence the decision to deliver in a facility or at home |